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Modesto Radiological Medical Group, Inc.
Vascular & Interventional Radiology Physician in Modesto, California
NPI 1992747547

Modesto Radiological Medical Group, Inc. is a Vascular & Interventional Radiology Physician based in Modesto, CA and is specialized in Vascular & Interventional Radiology. Modesto Radiological Medical Group, Inc. practices in Modesto, CA. The NPI Number for Modesto Radiological Medical Group, Inc. is 1992747547 and holds a License No. (California).

The current practice location address for Modesto Radiological Medical Group, Inc. is 1524 Mchenry Ave, Modesto, CA and can be reached out via phone at 209-342-5920.

Location: 1524 Mchenry Ave, Modesto, CA, 95350-4567
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1992747547
Provider Name
Modesto Radiological Medical Group, Inc.
Credential
Provider Entity Type
Organization
Address
1524 Mchenry Ave, Modesto, CA, 95350-4567
Phone Number
209-342-5920
Fax Number
Provider Enumeration Date
06/11/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ78409Z 05 CA
GR0043720 05 CA
GR0050090 05 CA
ZZZ02008Z 05 CA
ZZZ72881Z 05 CA
ZZZ75541Z 05 CA
GR0043723 05 CA
GR0043724 05 CA
GR0050220 05 CA
GR0050221 05 CA
GR0043722 05 CA
ZZZ72867Z 05 CA
institution
Provider Business Practice Location Address Details
Address
1524 Mchenry Ave
City
Modesto
State
California
Zip
95350-4500
Phone Number
209-342-5920
Fax Number
person
Provider Business Mailing Address Details
Address
1524 Mchenry Ave
City
Modesto
State
California
Zip
95350-4500
Phone Number
209-342-5920
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Body Imaging
Taxonomy
2085B0100X
License No.
()
Definition
A Radiology doctor of Osteopathy that specializes in Body Imaging.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Neuroradiology
Taxonomy
2085N0700X
License No.
()
Definition
A radiologist who diagnoses and treats diseases utilizing imaging procedures as they relate to the brain, spine and spinal cord, head, neck and organs of special sense in adults and children.
person
Provider's Taxonomy Details 3
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
()
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 4
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Vascular & Interventional Radiology
Taxonomy
2085R0204X
License No.
()
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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